NPI 1831466002 · live from the CMS NPI Registry
Teton Hospice
Hospice Care, Community Based in Idaho Falls, ID. National Provider Identifier 1831466002, active.
NPI record
| NPI | 1831466002 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Hospice Care, Community Based 251G00000X |
| Practice location | 2470 Jafer Court, Idaho Falls, ID 83404 |
| Practice phone | 208-529-3636 |
| Enumerated | November 16, 2011 |
| Last updated | April 4, 2013 |
| Authorized official | Mark Deis, Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based primary | 251G00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.